Application of Cognitive Behavioral Therapeutic Techniques in the Treatment of Gambling Disorder: A Case Study

Abstract

This case report describes a 37-year-old male with severe gambling disorder  involving sports betting and slot machines, with major psychosocial consequences including debt, occupational decline, family conflict, isolation, nightmares, and suicidal ideation. Psychometric assessment indicated pathological gambling, high irrational gambling beliefs, high situational risk, severe depression and moderate–severe anxiety.  Etiological factors included early familial normalization of betting, competitive orientation, an initial win reinforcing cognitive distortions (illusory control), social comparison, and progressive escalation after abstinence periods. Treatment comprised a 12 session Cognitive Behavioral Therapy program (including two couple sessions) emphasizing psychoeducation on dopaminergic reward mechanisms, decisional balance, Stages of Change, cognitive restructuring, ABC formulation of craving, coping skills, relapse prevention planning, social skills training and self esteem enhancement. Initial barriers (limited insight; reluctance to self monitor; disclosure hesitancy) were overcome. Outcomes: completed program without relapse, marked reduction in anxiety and depression, improved understanding of relapse mechanisms, and restored family engagement. The report highlights Cognitive Behavioral Therapy as first line intervention for gambling disorder and underscores the role of patient engagement, family support, and early intervention in prognosis.